De Quervain tenosynovitis

Case contributed by Dr Maulik S Patel

Presentation

Pain, swelling at the radial aspect of the left wrist for 4- to-6 weeks. No history of trauma.

Patient Data

Age: 70 years
Gender: Female
Modality: Ultrasound

There is thickening (up to 1.3 mm) of the extensor retinaculum involving abductor pollicis longus and extensor pollicis brevis tendons.

There is no vertical septum between two tendons of 1st extensor compartment. Both tendons are intact. There is local hypervascularity. There is fluid in tendon sheath proximal and distal to sheath thickening.

There are two slips of abductor pollicis longus tendon (a normal variant). 

Case Discussion

Ultrasound findings suggest De Quervain's tenosynovitis.

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Case Information

rID: 50452
Case created: 6th Jan 2017
Last edited: 9th Jan 2017
Inclusion in quiz mode: Excluded

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